Fixing America's Health Care Reimbursement System

This post is authored by Brian Klepper and first appeared at Kaiser Health News:A tempest is brewing in physician circles over how doctors are paid. But calming it will require more than just the action of physicians. It will demand the attention and influence of businesses and patient advocates who, outside the health industrial complex, bear the brunt of the nation's skyrocketing health care

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Figures just released by the Office of National Statistics claim that the number of households living in fuel poverty has declined by 0.7million ( see data here ). The government say that less than 5 million households live in fuel poverty, while Uswitch claim that 6.3 million households live in fuel poverty. Uswitch's figure is much more reliable as their's summer 2011 price hikes. We say a family is in fuel poverty when it spends 10% of household income on its dual energy costs of heating the home and operating cooking and electrical appliances. However, as USwitch explain the governments figures are appallingly out of state ( here ). The publication today by the government only examines fuel costs up to the end of 2010. The Office of National Statistics does admit that if it factored in housing costs then 3 million more households could be described as living in fuel poverty, it also admits that 72% of English households faced a high risk of fuel poverty at year end (2010)....

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Attesting to Meaningful Use Quality Measures

I was recently asked how eligible professionals should report the Meaningful Use Clinical Quality Measures if there are zero denominators (i.e. you do not have any hypertensives, adults, or patients with 2 or more visits in the measurement period) Here's the answer as I understand the regulations and FAQs: 1. Report on the 3 Core measures if you can, which include *Hypertension: Blood Pressure Measurement *Tobacco Use Assessment and Tobacco Cessation Intervention *Adult Weight Screening and Follow-up 2. If any of the 3 Core measures has a zero denominator, replace them one-for-one with one of the 3 alternate core measures. If you can’t get to 3 non-zero denominators between the core and alternate core, report on all 6 (even if it means that you have to report 6 zero denominators) *Weight Assessment and Counseling for Children and Adolescents *Preventive Care and Screening: Influenza Immunization for Patients ≥ 50 Years Old *Childhood Immunization Status 3. Regar...

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